Brooke Nadine Davidson, PSYD in Newport Beach, CA - Medicare Psychologist Provider

Brooke Nadine Davidson, PSYD is a medicare enrolled "Psychologist" provider in Newport Beach, California. Her current practice location is 4700 Von Karman Ave Ste 102, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 743-1457.

Brooke Nadine Davidson is licensed to practice in California (license number 31050) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538568407.

Contact Information

	Brooke Nadine Davidson, PSYD
	4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194
	(949) 743-1457
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Nadine Davidson
Gender	Female
Speciality	Psychologist
Location	4700 Von Karman Ave Ste 102, Newport Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538568407
Provider Enumeration Date: 08/17/2014
Last Update Date: 06/11/2020

Medicare PECOS Information:

PECOS PAC ID: 4284056458
Enrollment ID: I20200616001864

Medical Identifiers

Medical identifiers for Brooke Nadine Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538568407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	31050 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brooke Nadine Davidson allows following entities to bill medicare on her behalf.

Entity Name	Julia Evans Phd Psychology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861902280 PECOS PAC ID: 0446510309 Enrollment ID: O20180214001586

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooke Nadine Davidson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brooke Nadine Davidson, PSYD 4700 Von Karman Ave, Ste 102, Newport Beach, CA 92660-2194 Ph: (949) 743-1457	Brooke Nadine Davidson, PSYD 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 Ph: (949) 743-1457

Reviews and Comments

Psychologist in Newport Beach, CA

Margaret Mary Decker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Dove St, Suite 140, Newport Beach, CA 92660 Phone: 949-922-1529 Fax: 949-809-5779
Dr. Paul T Depompo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4060 Campus Dr, Suite 120, Newport Beach, CA 92660 Phone: 949-300-1952 Fax: 949-313-1723
Dr. Jacqueline A Josephson, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1400 Quail St Ste 136, Newport Beach, CA 92660 Phone: 510-686-3306
Ghada Al-seilawi, EDUCATIONAL PSYCHOLO Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Dove St Ste 270, Newport Beach, CA 92660 Phone: 949-432-4815
Dr. Vance B Becker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1451 Quail St, Ste 102, Newport Beach, CA 92660 Phone: 949-757-1113 Fax: 949-757-1114
Ms. Dana Emerson Basu, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2549 Eastbluff Dr # 134, Newport Beach, CA 92660 Phone: 608-575-2111 Fax: 949-220-7004
Dr. Carey Sherilyn Incledon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1101 Dove St Ste 190, Newport Beach, CA 92660 Phone: 949-630-0630 Fax: 949-688-5577

Brooke Nadine Davidson, PSYD - Medicare Psychologist in Newport Beach, CA